Active NPIIndividual providerSole proprietor

Mrs. Shannon K Wiedenman

Social Worker in Chelsea, Massachusetts

NPI Number1649384215
Practice location
301 Broadway, Chelsea, MA 02150-2807
Fax
—
Last updated
July 8, 2007

Shannon Kathleen Wiedenman is a Social Worker based in Chelsea, MA. Shannon Kathleen Wiedenman practices in Chelsea, MA. The NPI Number for Shannon Kathleen Wiedenman is 1649384215 and holds a License No. 213356 (MA). The current practice location address for Shannon Kathleen Wiedenman is 301 Broadway, Chelsea, MA 02150-2807 and can be reached out via phone at 617-912-7972.

Provider Profile Details

NPI Number
1649384215
Provider Name
Shannon Kathleen Wiedenman
Provider Entity Type
Individual
Gender
Female
Address
301 Broadway, Chelsea, MA 02150-2807
Phone Number
617-912-7972
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 19, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Broadway
Chelsea, MA 02150-2807
Zip
02150-2807
Phone Number
617-912-7972
Chelsea, MA 02150Get directions →

Provider Business Mailing Address Details

Address
7 Wyatt St
Somerville, MA 02143-3917
City
Somerville
State
MA
Zip
02143-3917
Phone Number
671-767-1834

License Information

License Number
213356
License State
MA
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Shannon K Wiedenman?

The NPI number of Mrs. Shannon K Wiedenman is 1649384215. It was assigned on August 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Shannon K Wiedenman?

Mrs. Shannon K Wiedenman is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 213356.

Where does Mrs. Shannon K Wiedenman practice?

The practice location is 301 Broadway, Chelsea, MA 02150-2807. The office can be reached at 617-912-7972 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649384215 directly on the NPPES registry website.

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